#WomensMonth: A quiet conflict: ADHD in women

Quiet chaos
“Women with ADHD generally present with inattentiveness, which is why their condition flies under the radar for so long,” says psychiatrist Dr Rykie Liebenberg. “Their symptoms are more internalised and less noticeable, which means they suffer quietly, confused about why their lives are so disorganised and out of control.”

Liebenberg describes these symptoms as daydreaming, lapses in concentration and procrastination – a generalised “vagueness” that affects all areas of their life. At work, they never finish tasks on time and show up late for meetings. At home, they find it difficult to complete the day-to-day administrative domestic tasks – particularly parenting responsibilities.

Moving parts
“Most women diagnosed, in my experience, are the mothers of children with ADHD,” explains Liebenberg. “Being disorganised has far more ramifications when you’re trying to work a full-time job, fetch children, pack lunches and run a household.”

Although cautious about precipitating a stereotype, Liebenberg maintains women still have more “multidisciplinary” roles to play at both work and home, which is where previously unnoticed symptoms of ADHD become more obvious. Trying to navigate this chaotic environment while suffering from chronic fatigue and sleeplessness (both common symptoms of undiagnosed ADHD) can make for a seriously distressing situation.

Out-of-control eating

A lesser-known symptom is binge-eating due to lack of impulse control. In some parts of the USA, it’s suggested that women undergoing gastric-bypass surgery are also screened for ADHD because of this link. A recommendation, Liebenberg feels, is fully substantiated and understandable.

“Together with binge-eating, anxiety is a very common comorbidity,” adds Liebenberg. “Often, if you treat the ADHD with the correct medication, the anxiety can be remedied too.”

Undiagnosed adults

Most women are only diagnosed with ADHD as adults, in Liebenberg’s experience, which makes it important to be aware of the symptoms from earlier on in the women’s life.

“Friends, colleagues and mothers should keep an eye out for the key signs of ADHD in women – anxiety, restlessness, fatigue and a general lack of concentration,” advises Liebenberg. “With the right support from friends and family, coupled with effective medication, they can manage their condition and flourish.”